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Persistent femoral neck non-union despite valgus intertrochanteric osteotomy: Relevance for secondary cam-type impingement
Valgus intertrochanteric osteotomy is a well-established treatment in delayed union of femoral neck fractures as it converts shear forces into compression forces. Non-union of the femoral neck fracture may persist following valgus intertrochanteric osteotomy, and secondary femoroacetabular impingeme...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10474228/ https://www.ncbi.nlm.nih.gov/pubmed/37663374 http://dx.doi.org/10.1016/j.tcr.2023.100911 |
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author | Blümel, Stefan Hanauer, Matthieu Franken, Veerle Schwab, Joseph M. Tannast, Moritz |
author_facet | Blümel, Stefan Hanauer, Matthieu Franken, Veerle Schwab, Joseph M. Tannast, Moritz |
author_sort | Blümel, Stefan |
collection | PubMed |
description | Valgus intertrochanteric osteotomy is a well-established treatment in delayed union of femoral neck fractures as it converts shear forces into compression forces. Non-union of the femoral neck fracture may persist following valgus intertrochanteric osteotomy, and secondary femoroacetabular impingement (FAI) may be a contributing factor. CASE: We report one case of persistent femoral neck non-union after treatment by valgus intertrochanteric osteotomy with concomitant secondary cam-type impingement from fracture callus as a possible cause for ongoing insufficient healing. Healing was achieved following surgical hip dislocation with corrective osteochondroplasty of the femoral head-neck junction. Two-year follow-up shows good clinical and radiological outcomes. CONCLUSION: In ongoing non-healing of femoral neck fractures following valgus intertrochanteric osteotomy, secondary cam impingement from fracture callus must be excluded. |
format | Online Article Text |
id | pubmed-10474228 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-104742282023-09-03 Persistent femoral neck non-union despite valgus intertrochanteric osteotomy: Relevance for secondary cam-type impingement Blümel, Stefan Hanauer, Matthieu Franken, Veerle Schwab, Joseph M. Tannast, Moritz Trauma Case Rep Case Report Valgus intertrochanteric osteotomy is a well-established treatment in delayed union of femoral neck fractures as it converts shear forces into compression forces. Non-union of the femoral neck fracture may persist following valgus intertrochanteric osteotomy, and secondary femoroacetabular impingement (FAI) may be a contributing factor. CASE: We report one case of persistent femoral neck non-union after treatment by valgus intertrochanteric osteotomy with concomitant secondary cam-type impingement from fracture callus as a possible cause for ongoing insufficient healing. Healing was achieved following surgical hip dislocation with corrective osteochondroplasty of the femoral head-neck junction. Two-year follow-up shows good clinical and radiological outcomes. CONCLUSION: In ongoing non-healing of femoral neck fractures following valgus intertrochanteric osteotomy, secondary cam impingement from fracture callus must be excluded. Elsevier 2023-08-19 /pmc/articles/PMC10474228/ /pubmed/37663374 http://dx.doi.org/10.1016/j.tcr.2023.100911 Text en © 2023 The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Case Report Blümel, Stefan Hanauer, Matthieu Franken, Veerle Schwab, Joseph M. Tannast, Moritz Persistent femoral neck non-union despite valgus intertrochanteric osteotomy: Relevance for secondary cam-type impingement |
title | Persistent femoral neck non-union despite valgus intertrochanteric osteotomy: Relevance for secondary cam-type impingement |
title_full | Persistent femoral neck non-union despite valgus intertrochanteric osteotomy: Relevance for secondary cam-type impingement |
title_fullStr | Persistent femoral neck non-union despite valgus intertrochanteric osteotomy: Relevance for secondary cam-type impingement |
title_full_unstemmed | Persistent femoral neck non-union despite valgus intertrochanteric osteotomy: Relevance for secondary cam-type impingement |
title_short | Persistent femoral neck non-union despite valgus intertrochanteric osteotomy: Relevance for secondary cam-type impingement |
title_sort | persistent femoral neck non-union despite valgus intertrochanteric osteotomy: relevance for secondary cam-type impingement |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10474228/ https://www.ncbi.nlm.nih.gov/pubmed/37663374 http://dx.doi.org/10.1016/j.tcr.2023.100911 |
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